Finding 547480 (2024-005)

Significant Deficiency
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2025-03-31
Audit: 351666
Organization: Wellspace Health (CA)
Auditor: Moss Adams LLP

AI Summary

  • Core Issue: The Evaluator's level of effort fell below the required 50% as per grant agreement.
  • Impacted Requirements: Compliance with 2 CFR section 200.306 and grant terms regarding key staff effort levels.
  • Recommended Follow-Up: Improve tracking systems for staff effort and consult SAMHSA for any uncertainties.

Finding Text

Criteria: The requirements for matching are contained in 2 CFR section 200.306, program legislation, Federal awarding agency regulations, and the terms and conditions of the award. The requirements for level of effort and earmarking are contained in program legislation, Federal awarding agency regulations, and the terms and conditions of the award. Per review of the award documents for Certified Community Behavioral Health Clinics Program, key staff have identified the following level of effort requirements:  Project Director at 50%  Evaluator at 50% Any changes in the key staff including level of effort, involving separation from the projects for 3 or more months, or a 25% reduction in time dedicated to the projects requires prior approval from SAMHSA. Condition: During the audit, we noted that a level of effort for the Evaluator was below the 50% required minimum by the grant agreement. Context: The audit findings represent a systematic problem, see condition above. Effect: By not obtaining minimum level of effort percentages, the Clinic may have level of effort not in compliance with the requirement. Cause: There were ineffective controls in place during the period to ensure minimum level of effort requirement for key staff was tracking properly. Recommendation: We recommend that the Clinic work on improving tracking system for level of effort requirement to make sure the Organization stays in compliance. We would also recommend to contact SAMHSA staff that is identified in the Notice of Award if there is some uncertainty to address it timely. Repeat finding: This is not a repeat finding. Views of responsible officials and planned corrective actions: The Organization will ensure to track minimum level of effort requirement in regard to any key staff to stay in compliance. All invoices will be reviewed to ensure level of effort requirements are in compliance.

Corrective Action Plan

Corrective Action Plan: The Organization will ensure to track minimum level of effort requirement in regard to any key staff to stay in compliance. All invoices will be reviewed by accounting management staff to ensure level of effort requirements are in compliance. Estimated completion date: June 30, 2025 Contact person: Chue Vang, Chief Financial Officer

Categories

Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 547477 2024-004
    Significant Deficiency Repeat
  • 547478 2024-004
    Significant Deficiency Repeat
  • 547479 2024-004
    Significant Deficiency Repeat
  • 1123919 2024-004
    Significant Deficiency Repeat
  • 1123920 2024-004
    Significant Deficiency Repeat
  • 1123921 2024-004
    Significant Deficiency Repeat
  • 1123922 2024-005
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
21.027 Coronavirus State and Local Fiscal Recovery Funds $4.75M
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $4.45M
93.778 Medical Assistance Program $1.52M
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $1.46M
93.696 Certified Community Behavioral Health Clinic Expansion Grants $1.08M
93.977 Sexually Transmitted Diseases (std) Prevention and Control Grants $273,866
93.526 Grants for Capital Development in Health Centers $238,417
93.959 Block Grants for Prevention and Treatment of Substance Abuse $194,150
93.527 Grants for New and Expanded Services Under the Health Center Program $59,664
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $34,057